AANP FNP CERTIFICATION LATEST 2024-2025 WITH
QUESTIONS AND VERIFIED ANSWERS GRADED A+
3 month old infant with down syndrome, due to milk intolerance, mom
started on goats milk; now has pale conjunctiva but otherwise healthy.
Low HCT. What additional test would you order? - ANSWER- Iron,
TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? -
ANSWER- Increase Medication
ways to assess cognitive function in patient with signs/symptoms of
memory loss - ANSWER- Mini mental exam
4 month old wont keep anything down, what is the main thing you look
at? - ANSWER- Growth chart
6 month old closed anterior fontanel. - ANSWER- XRAY
Abnormal cells on PAP, what do you do next? - ANSWER- Refer for
Colposcopy
CAGE ACRONYM - ANSWER- Cut down
Annoyed by criticismGuilty about drinkingEye opener drink
Causes of tachycardia - ANSWER- Fever Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - ANSWER-
CN 3,4,6
Definition of metabolic syndrome - ANSWER- cluster of conditions
thatincrease risk of heart disease, stroke, diabetes.
,diagnose trichomoniasis - ANSWER- wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5
ovary, what do you do next? - ANSWER- Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs
triangle, where is this located? - ANSWER- Anterior septum
Definitive diagnosis of acute bacterial prostatitis - ANSWER- urinalysis
and culture
GERD treatment - ANSWER- H2 is first line, give hs
Grade 3 cells on Pap, treatment? - ANSWER- LEEPexcision
Fingernail hematoma treatment? - ANSWER- drill hole and drain
blood?
Increased risk of ectopic pregnancy - ANSWER- Salpingitis, or history
of abortion, PID,
Koplick spots - ANSWER- Measles (rubeola). Grains of salt lesions
inside mouth in Measles
Koplick spots - ANSWER- Measles (rubeola). Grains of salt lesions
inside mouth in Measles
Legg-Calve-Perthes Disease - ANSWER- Avascular necrosis of the
proximal femoral head
Lipid level of 1500, increased risk for? - ANSWER- Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - ANSWER-
Macrocytic anemia, B12 Def
,Man with BPH, prostate feels on digital exam? - ANSWER- Enlarged,
symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal -
ANSWER- Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress -
ANSWER- Meniscus tears
Lachman's Test - ANSWER- pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? - ANSWER- refer to
orthopedist
Osgood-Schlatter disease - ANSWER- Knee pain.
inflammation or irritation of the tibia at its point of attachment with the
patellar tendon
Patient forgot to start Thanksgiving dinner and husband states she has
trouble remembering tasks and trouble with organization. What is this
indicative of? - ANSWER- Alzheimer's
Pt has Barretts Esophagus, insurance no longer covers GI who was
treating condition. Pt at FNP office wanting refill prescriptions. What
doyou do? - ANSWER- Refer to oncologist
Pt presents with rash on shoulder, erythematous maculopapular rash
with center clearing and scaling? - ANSWER- Tinea Corporis
Pt presents with "bag of worms:, indicates? - ANSWER- Varicocele
Pt with atopic dermatitis, look for what other diseases? - ANSWER-
Asthma
, Pt with bleeding after menopause - ANSWER- endometrial biopsy,
needto screen for cancer
Pt with hx of PID, increased rick for? - ANSWER- Infertility
Pt with HIV took high potency anti viral treatments and CD4 is >400,
what does this indicate? - ANSWER- This is good. Want higher than
350
Pt with hx of htn and stroke, now having memory loss. What does this
indicate? - ANSWER- Vascular dementia
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what
risk is there to the fetus? - ANSWER- slap cheek, PVB19, rash hands /
feet Fetal death and birth defects
Quick assessment of patients fall risk? Timed Get up and Go -
ANSWER- Timed Get up and Go
Red beefy tongue? - ANSWER- pernicious anemia
Rotator cuff injury presentation - ANSWER- disturbs sleep, arm
weakness, dull ache
Shingles near eye - ANSWER- immediate referral to ophthalmology
Signs and symptoms of Roseola (6ths disease) ? - ANSWER- Viral
infection
Can result in a maculopapular rash, but up to 70% of cases proceed
without the rash stage
a. Usually accompanied by a high fever (41°C or 105°F) that comes on
quickly and lasts up to 3 days followed by rash
b. Seizures may occur during this period.
QUESTIONS AND VERIFIED ANSWERS GRADED A+
3 month old infant with down syndrome, due to milk intolerance, mom
started on goats milk; now has pale conjunctiva but otherwise healthy.
Low HCT. What additional test would you order? - ANSWER- Iron,
TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? -
ANSWER- Increase Medication
ways to assess cognitive function in patient with signs/symptoms of
memory loss - ANSWER- Mini mental exam
4 month old wont keep anything down, what is the main thing you look
at? - ANSWER- Growth chart
6 month old closed anterior fontanel. - ANSWER- XRAY
Abnormal cells on PAP, what do you do next? - ANSWER- Refer for
Colposcopy
CAGE ACRONYM - ANSWER- Cut down
Annoyed by criticismGuilty about drinkingEye opener drink
Causes of tachycardia - ANSWER- Fever Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - ANSWER-
CN 3,4,6
Definition of metabolic syndrome - ANSWER- cluster of conditions
thatincrease risk of heart disease, stroke, diabetes.
,diagnose trichomoniasis - ANSWER- wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5
ovary, what do you do next? - ANSWER- Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs
triangle, where is this located? - ANSWER- Anterior septum
Definitive diagnosis of acute bacterial prostatitis - ANSWER- urinalysis
and culture
GERD treatment - ANSWER- H2 is first line, give hs
Grade 3 cells on Pap, treatment? - ANSWER- LEEPexcision
Fingernail hematoma treatment? - ANSWER- drill hole and drain
blood?
Increased risk of ectopic pregnancy - ANSWER- Salpingitis, or history
of abortion, PID,
Koplick spots - ANSWER- Measles (rubeola). Grains of salt lesions
inside mouth in Measles
Koplick spots - ANSWER- Measles (rubeola). Grains of salt lesions
inside mouth in Measles
Legg-Calve-Perthes Disease - ANSWER- Avascular necrosis of the
proximal femoral head
Lipid level of 1500, increased risk for? - ANSWER- Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - ANSWER-
Macrocytic anemia, B12 Def
,Man with BPH, prostate feels on digital exam? - ANSWER- Enlarged,
symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal -
ANSWER- Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress -
ANSWER- Meniscus tears
Lachman's Test - ANSWER- pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? - ANSWER- refer to
orthopedist
Osgood-Schlatter disease - ANSWER- Knee pain.
inflammation or irritation of the tibia at its point of attachment with the
patellar tendon
Patient forgot to start Thanksgiving dinner and husband states she has
trouble remembering tasks and trouble with organization. What is this
indicative of? - ANSWER- Alzheimer's
Pt has Barretts Esophagus, insurance no longer covers GI who was
treating condition. Pt at FNP office wanting refill prescriptions. What
doyou do? - ANSWER- Refer to oncologist
Pt presents with rash on shoulder, erythematous maculopapular rash
with center clearing and scaling? - ANSWER- Tinea Corporis
Pt presents with "bag of worms:, indicates? - ANSWER- Varicocele
Pt with atopic dermatitis, look for what other diseases? - ANSWER-
Asthma
, Pt with bleeding after menopause - ANSWER- endometrial biopsy,
needto screen for cancer
Pt with hx of PID, increased rick for? - ANSWER- Infertility
Pt with HIV took high potency anti viral treatments and CD4 is >400,
what does this indicate? - ANSWER- This is good. Want higher than
350
Pt with hx of htn and stroke, now having memory loss. What does this
indicate? - ANSWER- Vascular dementia
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what
risk is there to the fetus? - ANSWER- slap cheek, PVB19, rash hands /
feet Fetal death and birth defects
Quick assessment of patients fall risk? Timed Get up and Go -
ANSWER- Timed Get up and Go
Red beefy tongue? - ANSWER- pernicious anemia
Rotator cuff injury presentation - ANSWER- disturbs sleep, arm
weakness, dull ache
Shingles near eye - ANSWER- immediate referral to ophthalmology
Signs and symptoms of Roseola (6ths disease) ? - ANSWER- Viral
infection
Can result in a maculopapular rash, but up to 70% of cases proceed
without the rash stage
a. Usually accompanied by a high fever (41°C or 105°F) that comes on
quickly and lasts up to 3 days followed by rash
b. Seizures may occur during this period.
